33D0922244 CLIA NUMBER - TRINITY NIAGARA FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 33D0922244
  • Facility Name: TRINITY NIAGARA FAMILY MEDICINE
  • Facility Address: 908 CENTER STREET
    LEWISTON, NY
    ZIP 14092
  • Facility Phone: (716) 745-8083
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JEROME C. ANDRES
  • NPI Number: 1508408998
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0922244
LAB Type Physician Office
Facility Name TRINITY NIAGARA FAMILY MEDICINE
Street 908 CENTER STREET
City LEWISTON
State NY
ZIP 14092
Phone 7167458083
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2020
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. JEROME C. ANDRES

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This page was last updated on: 5/18/2026